This review article delves into the multifaceted role of physiotherapy within sports medicine, focusing on the rehabilitation outcomes for athletes following injury. It systematically examines the successes and challenges encountered in the application of various physiotherapy interventions aimed at facilitating recovery and enhancing performance. Through an analysis of case studies, innovative practices, and the integration of new technologies, this review highlights the significant contributions of physiotherapy to sports medicine. Conversely, it also critically assesses instances where physiotherapy has not met expectations, exploring potential reasons behind these shortcomings, including limitations in current practices, patient adherence issues, and systemic barriers to effective rehabilitation. Furthermore, the article discusses the evolving landscape of sports physiotherapy, emphasizing the importance of interdisciplinary approaches and the need for ongoing research and education to support evidence-based practices. By providing a balanced perspective on the achievements and obstacles within sports physiotherapy, this review aims to inform future practices, encourage the adoption of innovative techniques, and foster collaborative efforts to improve athlete care and rehabilitation outcomes.